Provider Demographics
NPI:1447852678
Name:EMILY TRULSON, LCPC COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:EMILY TRULSON, LCPC COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:TRULSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC, CPT, SSN
Authorized Official - Phone:309-335-0510
Mailing Address - Street 1:3526 N CALIFORNIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61603-1143
Mailing Address - Country:US
Mailing Address - Phone:309-839-9396
Mailing Address - Fax:
Practice Address - Street 1:3526 N CALIFORNIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61603-1143
Practice Address - Country:US
Practice Address - Phone:309-335-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health